BLUE MOON SENIOR COUNSELING OF ILLINOIS LLC
NPI 1841562931
Social Worker - Clinical in Plainfield, IL

Q: What is Blue Moon Senior Counseling Of Illinois LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since February 03, 2012

10204 BODE ST STE B, PLAINFIELD, IL 60585(855) 241-7160(954) 465-5142 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Blue Moon Senior Counseling Of Illinois Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUE MOON SENIOR COUNSELING OF ILLINOIS LLC (NPI 1841562931) is a healthcare organization registered as a clinical in Plainfield, Illinois and active in the NPI registry since February 2012. The organization lists Melanie Donohue, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1841562931

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameBLUE MOON SENIOR COUNSELING OF ILLINOIS LLC

Location Address10204 BODE ST STE BPlainfield, IL 60585-9813

Mailing Address10204 Bode St Ste BPlainfield, IL 60585-9813 · (855) 241-7160 · Fax (954) 324-8354

Phone(855) 241-7160

Fax(954) 465-5142

Organization SubpartNo

Authorized OfficialMelanie DonohueAuthorized Official · (855) 241-7160

Enumeration DateFebruary 3, 2012

Last NPPES UpdateSeptember 20, 2019

✔ NPI 1841562931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

10204 BODE ST STE B, Plainfield, IL 60585

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Other Identifiers 1

OtherIL7187IL · Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIKTORIJA BENNETT

Social Worker (Clinical)